Page Reviewed / Updated - November 02, 2020
This page is designed to help residents of Indiana understand the costs connected with assisted living, home care, and adult day care. Additionally, it explores payment options and financial aid programs that may be available to help in caring for elderly loved ones.
Please use our Resource Locator Tool to search for assistance programs nationwide. The ones outlined here are comprehensive, but only at the state level, specific to Indiana, and do not include options available at a national level. In order to find the most appropriate program for your situation, it is strongly recommended you search for programs at all levels.
Cost of Care Calculator
In 2020, according to Genworth’s Cost of Care Survey 2019, the average monthly cost of assisted living in Indiana is approximately $4,100. In Lafayette, Kokomo, Muncie, Michigan City, and Elkhart, the monthly cost is quite a bit more costly, averaging between $4,500 and $5,685 / month. Indianapolis is on par with the statewide average at $4,100 / month. The least expensive assisted living can be found in Bloomington, Fort Wayne, Columbus, and Terre Haute, where the monthly cost swings the other way, with costs approximately $425 – 1,130 less a month than the state average. Memory care (for persons with moderate+ dementia, such as Alzheimer’s) typically costs 20% - 30% more than regular assisted living. This equates to an approximate additional cost of $742 to $1,421 per month.
Per the 2019 Genworth Cost of Care Survey, the average hourly rate for home care across Indiana in 2020 is $22.73 / hour, with little variation between cities and rural areas. Though the average hourly rate in Evansville, Terre Haute, and Bloomington on average is $2.00 to $2.75 less / hour. Kokomo
For persons who need in-home medical care, home health care is also available. The statewide average cost is approximately $.25 more per hour than is regular home care at $23.00 / hour. Two areas of the state, Fort Wayne and Terra Haute, have costs greater than the statewide average, with an approximate cost of $1.50 more per hour.
Genworth’s Cost of Care Survey 2019 indicates that the average cost of adult day care services is $85 / day in 2020. In the South Bend, Terre Haute, and Indianapolis areas, one can expect to pay between $93 and $99 / day. On the other hand, one can find expected costs as low as $36 to $70 / day in the Michigan City, Fort Wayne, and Evansville areas.
Medicaid covers the cost of nursing home care, as well as limited personal care, for elderly and frail, low-income individuals. In addition to the state Medicaid plan, Indiana also offers a HCBS (Home and Community Based Services) Medicaid Waiver to assist those who need a nursing home level of care, but prefer to remain living at home or in the community. The goal of these waiver programs is for individuals to remain living in their homes for as long as possible, delaying or preventing nursing home placement. Indiana currently offers one Medicaid-based assistance program relevant to the elderly.
Aged and Disabled (A&D) Medicaid Waiver / Consumer-Directed Attendant Care (CDAC) Program – This program is intended to provide state residents assistance for living at home, in foster homes, or in assisted living. This program also assists individuals who currently reside in a nursing home, but wish to return home. Many benefits are available via this program, including adult day care, home and vehicle modifications, and homemaker services. Family members can be hired to act as personal care providers. Waiting lists may apply. To learn more, click here.
Structured Family Caregiving / Caregiver Homes – Rather than a separate waiver, this is a benefit that falls under the Aged and Disabled Medicaid waiver. It is intended to provide a caregiver to an elderly or disabled resident, either in the caregiver’s home or the home of the individual in need of care. This program is designed in an adult foster care model where the individual in need of care lives with their caregivers, and the caregiver receives compensation. Certain family members, including adult children, can be hired as the caregiver. Find out more and learn how to apply here.
As of 2020, the state of Indiana requires that in order to qualify for long-term care Medicaid as a disabled or elderly person, one must be a resident at least 65 years of age, or under the age of 65 and disabled. The monthly income limit is set at $2,349 (300% of the Federal Benefit Rate) for single applicants, and the asset limit is set at $2,000. Both the income and asset limits increase should a married couple apply for benefits. If only one spouse of a married couple applies, the non-applicant spouse may be entitled to a portion of the applicant spouse’s income. This is known as the Monthly Maintenance Needs Allowance (MMNA), and as of 2020, may be as much as $3,216 / month. In addition, as of 2020, a non-applicant spouse can keep up to $128,640 of the couple’s joint assets. This is called the Community Spouse Resource Allowance (CSRA). Both of these rules are in place to prevent spousal impoverishment. Read more about assistance qualifying for Medicaid.
The state of Indiana currently offers three non-Medicaid assistance programs. The first is the CHOICE program, also called the Community and Home Options to Institutional Care for the Elderly and Disabled. It provides in-home care, in-home support, and home modifications for aging in place. The second program, HoosierRx, offers financial support to assist seniors in paying their Medicare Part D premiums, which provides for medication coverage. The third program, Indiana Residential Care Assistance Program, provides financial support for individuals residing in state-approved homes and residential care facilities. This assistance may help to cover the cost of room and board, laundry, and care coordination.
Click on the program names below to get more information on specific benefits and eligibility guidelines.
Additional funding for care can also be found at the federal and non-profit levels. In addition to the options listed above, there are programs to assist veterans, as well as loans available for elder care. Use the Resource Locator Tool to find these and other programs that may reduce the cost of care. This tool is also invaluable in finding the program that is best matched to your situation.
Even though the cost of care in Indiana can be more affordable than surrounding states, there is still a broad range of elder care pricing throughout the state. Given this fact, it is strongly recommended that one contact various providers to uncover more affordable care. To help citizens with this process, our organization offers a service, free of charge. This service matches particular care needs with the care providers in the appropriate price range and ideal geographic region. Click here for assistance.
For more information about the costs and resources available in Indiana cities, click on the links below.